Evidence map›Paper›PMID 21856697›Full record

SynthesisThorax2012

Occupational exposure to organic dust increases lung cancer risk in the general population.

Susan Peters, Hans Kromhout, Ann C Olsson, Heinz-Erich Wichmann, Irene Brüske, Dario Consonni, Maria Teresa Landi, Neil Caporaso, Jack Siemiatycki, Lorenzo Richiardi and 28 more

Open access · bronzeAbstract readMeta-Analysis
In one paragraph

Synthesis in Thorax, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 55 citations in OpenAlex.

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  19. Lung cancer correlates in Lebanese adults: a pilot case--control study.Journal of epidemiology and global health · 2013
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

38 authors at 20 institutions in 13 countries.

Susan PetersEnvironmental Epidemiology Division, Institute for Risk Assessment Sciences, Utrecht University, Utrecht, The Netherlands. s.peters@uu.nl
Hans Kromhout
Ann C Olsson
Heinz-Erich Wichmann
Irene Brüske
Dario Consonni
Maria Teresa Landi
Neil Caporaso
Jack Siemiatycki
Lorenzo Richiardi
Dario Mirabelli
Lorenzo Simonato
Per Gustavsson
Nils Plato
Karl-Heinz Jöckel
Wolfgang Ahrens
Hermann Pohlabeln
Paolo Boffetta
Paul Brennan
David Zaridze
Adrian Cassidy
Jolanta Lissowska
Neonila Szeszenia-Dabrowska
Peter Rudnai
Eleonora Fabianova
Francesco Forastiere
Vladimir Bencko
Lenka Foretova
Vladimir Janout
Isabelle Stücker
Rodica Stanescu Dumitru
Simone Benhamou
Bas Bueno-de-Mesquita
Benjamin Kendzia
Beate Pesch
Kurt Straif
Thomas Brüning
Roel Vermeulen
Centre International de Recherche sur le Cancer · FRInstitute for Prevention and Occupational Medicine · DEHelmholtz Zentrum München · DEInserm · FRKarolinska Institutet · SELeibniz Institute for Prevention Research and Epidemiology - BIPS · DENational Cancer Institute · USUniversity of Turin · ITUtrecht University · NLCharles University · CZFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITIcahn School of Medicine at Mount Sinai · USMasaryk Memorial Cancer Institute · CZNational Institute for Public Health and the Environment · NLNofer Institute of Occupational Medicine · PLOrszagos Kornyezetegeszsegugyi Intezet · HUPalacký University Olomouc · CZPublic Health Authority of the Slovak Republic · SKRoy Castle Lung Cancer Foundation · GBRussian Cancer Research Center NN Blokhin · RU

Funding

Studies of Genetic and Environmental EpidemiologyZIACP101231 · NCI · DIVISION OF CANCER EPIDEMIOLOGY AND GENETICS · PI LANDI, MARIA · 2018 to 2025
$23.6M
Intramural NIH HHS Z99 CA999999Intramural NIH HHS ZIA CP101231
6 · The paper itself

Abstract

backgroundOrganic dust is a complex mixture of particulate matter from microbial, plant or animal origin. Occupations with exposure to animal products have been associated with an increased lung cancer risk, while exposure to microbial components (eg, endotoxin) has been associated with a decreased risk. To date there has not been a comprehensive evaluation of the possible association between occupational organic dust exposure (and its specific constituents) and lung cancer risk in the general population.

methodsThe SYNERGY project has pooled information on lifetime working and smoking from 13 300 lung cancer cases and 16 273 controls from 11 case-control studies conducted in Europe and Canada. A newly developed general population job-exposure matrix (assigning no, low or high exposure to organic dust, endotoxin, and contact with animals or fresh animal products) was applied to determine level of exposure. ORs for lung cancer were estimated by logistic regression, adjusted for age, sex, study, cigarette pack-years, time since quitting smoking, and ever employment in occupations with established lung cancer risk.

resultsOccupational organic dust exposure was associated with increased lung cancer risk. The second to the fourth quartile of cumulative exposure showed significant risk estimates ranging from 1.12 to 1.24 in a dose-dependent manner (p<0.001). This association remained in the highest quartile after restricting analyses to subjects without chronic obstructive pulmonary disease or asthma. No association was observed between lung cancer and exposure to endotoxin or contact with animals or animal products.

conclusionOccupational exposure to organic dust was associated with increased lung cancer risk in this large pooled case-control study.

Indexed as

AdultAgedCanadaCase-Control StudiesDustEuropeFemaleHumansLung NeoplasmsMaleMiddle AgedOccupational DiseasesOccupational ExposureSmokingDust

Identifiers

PMID21856697
PMCPMC8363447
OpenAlexW2132454324

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.